ERIC RAYBURN


Address: 1600 Haddon Ave, Camden, NJ 08103-3101
Phone: 8567573500

ERIC RAYBURN (NPI# 1992306781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992306781
Entity Type Individual
Full Name ERIC RAYBURN
Practice Address 1600 Haddon Ave
Camden
NJ 08103-3101
Mailing Address 30 Great Oak Rd
Levittown
PA 19057-3314
Practice Telephone 8567573500
Mailing Telephone 2155957154
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 26NJ01074400 NJ Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 134223 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Providers ERIC RAYBURN

NPI Name Taxonomy Address Enumeration
1528160546 Eric Rayburn Physician Assistant 4402 Shipyard Blvd, Wilmington, NC 28403-6161 2006-09-01

Office Location

Street Address 1600 HADDON AVE
City CAMDEN
State NJ
Zip Code 08103-3101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851399455 Christina M Lamonica Specialist 1600 Haddon Ave, Camden, NJ 08103-3101 2005-07-08
1508476177 Georgeanne V Stilley Clinical Nurse Specialist 1600 Haddon Ave, Camden, NJ 08103-3101 2020-08-07
1871125013 Vanessa Lynn Klemas Specialist/Technologist, Other 1600 Haddon Ave, Camden, NJ 08103-3101 2020-02-05
1457991903 Idan Waksman Physician Assistant 1600 Haddon Ave, Camden, NJ 08103-3101 2020-01-13
1154964716 Jaclyn Palmisano Nurse Practitioner 1600 Haddon Ave, Camden, NJ 08103-3101 2019-10-25
1538702642 David Shaw Anesthesiology 1600 Haddon Ave, Camden, NJ 08103-3101 2019-10-21
1215588462 Victoria Clark Advanced Practice Midwife 1600 Haddon Ave, Camden, NJ 08103-3101 2019-09-27
1215401120 Lindsay Szczerbinski Nurse Anesthetist, Certified Registered 1600 Haddon Ave, Camden, NJ 08103-3101 2019-01-14
1366919789 Kassandre King Nurse Anesthetist, Certified Registered 1600 Haddon Ave, Camden, NJ 08103-3101 2018-10-24
1104301381 Julie Lynn Brockway Nurse Anesthetist, Certified Registered 1600 Haddon Ave, Camden, NJ 08103-3101 2018-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912516063 Toni Marie Primas Registered Nurse Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 2020-07-24
1376028548 Services To Overcome Drug Abuse Among Teenagers, Inc. Clinic/Center 805-815 Federal Street, Camden, NJ 08103 2018-10-03
1942795802 Kyle Richard Marden Student in an Organized Health Care Education/Training Program 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 2018-06-24
1588157473 Julio Antonio Rodriguez Jr. Student in an Organized Health Care Education/Training Program Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 2018-06-14
1386149748 Shuchi Gupta Nurse Practitioner 519 West Street, Camden, NJ 08103 2018-03-28
1326541491 Bolanle Idowu-akangbe Nurse Practitioner 519-525 West Street, Camden, NJ 08103 2018-03-14
1740709500 New Beginnings Behavioral Health Clinic/Center 1300 Princess Avenue, Camden, NJ 08103 2017-09-13
1760905012 Loraine Morris Counselor 1479 Kaighn Ave, Camden, NJ 08103 2017-07-19
1386164333 Matthew Share Genetic Counselor, MS Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 2017-06-21
1568902070 Cooper University Hospital General Acute Care Hospital 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 2017-03-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215559695 Rutgers, School of Nursing-camden Community Health Clinics Nurse Practitioner The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 2020-05-08
1174716773 Rosemary Kates Nurse Practitioner 3 Cooper Plz Rm 518, Camden, NJ 08103 2007-08-27
1386620052 Faith Norcross Weintraub Nurse Practitioner 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 2005-12-15
1558369363 Patrick A Ervilus Nurse Practitioner 2809 River Rd, Camden, NJ 08105-4426 2005-07-14
1457989352 Kathryn Marino Nurse Practitioner 2 Cooper Plz, Camden, NJ 08103-1461 2020-03-28
1588291611 Samantha Lynn Cerny Nurse Practitioner 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 2020-03-26
1679100028 Caitlin Mcmahon Nurse Practitioner 1 Cooper Plz # 222, Camden, NJ 08103-1461 2020-03-25
1154964716 Jaclyn Palmisano Nurse Practitioner 1600 Haddon Ave, Camden, NJ 08103-3101 2019-10-25
1629610761 John Edward Mcsparran IIi Nurse Practitioner 1 Cooper Plz, Camden, NJ 08103-1461 2019-10-10
1992366215 Jennifer Lynn Palladino Nurse Practitioner 1000 Atlantic Ave, Camden, NJ 08104-1132 2019-06-26
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Competitor

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City CAMDEN
Zip Code 08103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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